MS. JENNIFER LYNN DORMAN


Address: 167 Belmar Boulevard, Avon Lake, OH 44012
Phone: 4409330242

MS. JENNIFER LYNN DORMAN (NPI# 1023388063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023388063
Entity Type Individual
Full Name MS. JENNIFER LYNN DORMAN
Credential R.D.
Practice Address 167 Belmar Boulevard
Avon Lake
OH 44012
Mailing Address 167 Belmar Blvd
Avon Lake
OH 44012-1337
Practice Telephone 4409330242
Mailing Telephone 4409330242
Enumeration Date 2012-01-09
Last Update Date 2012-01-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1004X Dietitian, Registered
Specialization: Nutrition, Pediatric
5661 OH Dietary & Nutritional Service Providers

Other Providers JENNIFER DORMAN

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1679971659 Jennifer Dorman Specialist/Technologist 7600 Macon Rd, Cordova, TN 38018-4900 2014-12-08
1467860130 Jennifer Lee Dorman Counselor 314 W 4th St, Oxnard, CA 93030-5910 2014-07-25
1336394329 Jennifer L Dorman Occupational Therapist 10 Elm St, Greenvale, NY 11548-1105 2008-11-18

Office Location

Street Address 167 BELMAR BOULEVARD
City AVON LAKE
State OH
Zip Code 44012

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649743352 Wyatt Demarco Massage Therapy & Wellness Center Massage Therapist 690 Avon Belden Rd, 2c, Avon Lake, OH 44012 2019-01-04
1659789915 Self Home Health 33803 Electric Blvd, E4, Avonlake, OH 44012 2014-07-30
1427489566 Thomas Gerosky, D.m.d. Inc Dentist 215 Miller Road, Avon Lake, OH 44012 2013-11-27
1558619676 Lindsay Stein Counselor 156a Lear Rd, Avon Lake, OH 44012 2012-08-21
1033495338 Jessica Rae Wyatt Massage Therapist 690 Avon Belden Rd Ste 2c, Avon Lake, OH 44012 2011-10-31
1841599248 Robin M Hale Counselor 32831 Redwood Blvd, Avon Lake, OH 44012 2011-03-24
1265551766 Robert Day Monroe Podiatrist 32118 Augusta Dr, Avon Lake, OH 44012 2007-03-28
1194822908 John Secrest Pyke IIi Dentist 33399 Walker Rd, Suite D, Avon Lake, OH 44012 2006-09-20
1295842284 Westshore Primary Care Assoc Inc Internal Medicine 32730 Walker Road, Building H, Avon Lake, OH 44012 2006-08-24
1316974751 Sandra M Drotos Occupational Therapist 533 Bayhill Drive, Suite 108, Avon Lake, OH 44012 2006-06-28
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Taxonomy Information

Taxonomy Code 133VN1004X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Pediatric

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346895273 Mary Patricia Turon-findley Dietitian, Registered 3333 Burnet Ave # Mlc6025, Cincinnati, OH 45229-3026 2019-08-07
1548756497 Abby Giangiordano Dietitian, Registered 3333 Burnet Ave # Mlc5043, Cincinnati, OH 45229-3026 2018-07-03
1346616307 Susan Hurley Dietitian, Registered 41 Longitude Dr, Mount Vernon, OH 43050-8700 2015-08-13
1093101198 Hilary Pelligra Dietitian, Registered 361 Timber Rdg, Cuyahoga Falls, OH 44223-1278 2015-04-15
1053744151 Mary Eileen Sheehan Dietitian, Registered 1920 Merganser Run Dr, Columbus, OH 43215-7018 2013-08-13
1093088130 Janet J Daprato Dietitian, Registered 5768 Kempton Run Ct., Columbus, OH 43235-3509 2012-02-21
1528343357 Melanie Rose Desapri Dietitian, Registered 24610 Maple Ridge Rd, Westlake, OH 44145-4931 2011-10-12
1386878296 Anne Louise Rice Dietitian, Registered 17610 Waldo Rd, Marysville, OH 43040-9493 2009-05-06
1417198714 Beth E Stefura Dietitian, Registered 236 Old Oak Dr, Cortland, OH 44410-1122 2009-03-16
1376781617 Colleen Mathews Dietitian, Registered 1430 Maple Ave, Wyoming, OH 45215-2116 2009-01-24
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Competitor

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City AVON LAKE
Zip Code 44012

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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